Second Schedule., The Nurses Rules

PRACTICE OF NURSES. Treatments which a Nurse may perform without instructions from a Doctor. 1. Care and cleanliness of all nursing equipment. 2. Sterilisation of surgical equipment. 3. Washing of patient. 4. Prevention and treatment of bedsores. 5. Cleaning patient of pediculi. 6. Making of patient's bed. 7. Cooking and serving patient's food. 8. Cleaning mouth of patient. Administration of mouth washes and gargles. 9. Giving treatments for reduction of pyrexia, tepid and cold sponging but not administration of antipyretic drugs, except aspirin, phenacetin. 10. Administration of evacuant enemata,. soap and water, olive oil, glycerine. 11. Administration of evacuant suppository, viz.: glycerine but not of suppositories containing dangerous drugs or poisons. 12. Administration of the following aperients: (Saline) Mist. Alba, Magnesium Sulphate, Sodium Sulphate, Potassium Tartrate or any proprietary preparation of these. (Vegetable) Cascara Sagrada, Sonna or proprietary preparations containing these. Mineral Oils, Liquid Paraffin. 13. Administration of antacid drugs for relief of gastric pains-Sodium bi-carbonate, carbonate, magnesium trisilicate, aluminium hydroxide or proprietary preparations of these. 14. Administration of drugs for relief of flatulence: Peppermint. 15. Administration of common drugs, for the relief of pain-aspirin, but not of any drug listed in the Dangerous Drugs Ordinance or Poisons Schedules. 16. Giving of moist inhalation for laryngitis, tracheitis pharyngitis or nasal sinus infections. 17. Applications of simple liniments. 18. Irrigation of eyes by simple lotions. 19. Application of cold to a part-cold compress, ice bag. 20. Application of heat to a part-hot water bottles, electric pad, medical fomentation, turpetine stupe, soda stupe but not belladonna or opium stupes. 21. Surgical fomentation. 22. Application of cataplasm or poultice to painful part-Cataplasma Kaolini Co. NOTE.-A Nurse may not administer cathartics without sanction of Doctor. rules 34, 35, 36, 37' 38, 39 and 40. 1140 Cap. 152] Nurses 23. Make blood film for diagnosis of malaria. (The nurse may not, witho11t sanction of a Doctor, withdraw blood through a hallow needle _or any other contrivance for the purpose of making blood tests). 24. Disinfection of utensils, clothing, bedding, furniture, excreta of patient. 25. Give usual nursing and first aid treatments for relief of shock-warmth; elevation of legs; rectal saline with glucose. 26. Withdraw urine by rubber catheter. 27. Arrest haemorrhage by use of pad and bandage, digital pressure or tourniquet. 28. Give first aid treatment for cleaning of a wound. 29. Apply first aid to fractures, sprains, muscle injuries, by using splints, slings, bandages or sandbags. 30. Performance of artificial respiration in an emergency. 31. First aid treatment for removal of foreign body from eye. 32. Giving of first aid treatment for snake bite or insect stings. 33. Giving of first aid to a woman in labour if the midwife or Doctor is not available. 34. Giving of first aid to patients having fits or convulsion. 35. Administration of demulcent drinks; common antidotes and antagonists against poisons and administration of such stimulants as coffee in cases of collapse following poisoning. 36. Giving first aid treatment for burns but not applying Sclerosing agents to burnt areas without sanction of Doctor. 37. Performance of last offices. 38. Keeping of the various charts. TREATMENTS WHICH A NURSE MAY PERFORM ONLY WITH SANCTION OF A REGISTERED MEDICAL PRACTITIONER, BUT NOT NECESSARILY IN HIS PRESENCE. 39. Artificial feeding by oesophageal or nasal routes. 40. Administration of any drug ordered on written prescription of a Registered Medical Practitioner. This includes- Oral administration. Rectal administration. Hypodermic injection. Intra-muscular injection. Intra-venous injection (but not intra-venous administration of blood, plasma). Applications to eyes. Applications to ears. Applications to throat. Applications to vagina. Applications to urethra. Applications to skin. Administration by inhalation, (but not anaesthetics except in the presence of a Registered Medical Practitioner). A nurse may not administer drugs or anaesthetics by the intrathecal route. Obtaining of specimens of infective material from throat, nose, eyes, 41. urethra, cervix; using appliances for the purpose. 42. 43. 45. 46. 47. 48. 49. 50. 51. 52. Examination of urine with a view to providing data for doctor to form a diagnosis. Preparation for major operations on any part of the body, except in an emergency. Performance of minor operations such as incision of boils or insertion of sutures in wounds. Application of strapping or elastoplast or other skin adherent for temporary treatment of fractures. Putting on of Plaster of Paris. Application of radiant heat, except in an emergency. Performance of diaphoretic treatment such as hot packing. Blistering and cupping. Lavage of stomach, colon, bladder. Vaginal douching. Dressing of operation and other wounds including removal of stitches, clips, drainage tubes, etc. Administration of approved courses of treatment for specified diseases by Field Units or in treatment centres or dispensaries approved by the Board. TREATMENT WHICH NURSES MAY PERFORM ONLY IN Pl~ESENCE OF A REGISTERED MEDICAL PRACTITIONER AND WITH HIS SANCTION. 53. Administration of anaesthetics.